Healthcare mistreatment and continuity of cancer screening among Latino and Anglo American women in southern california.

Department of Psychology, Loma Linda University, Loma Linda, California 92354, USA.
Women & Health (Impact Factor: 1.05). 01/2011; 51(1):1-24. DOI: 10.1080/03630242.2011.541853
Source: PubMed

ABSTRACT The aim of this research was to examine the relation of perceptions of healthcare mistreatment and related emotions to continuity of cancer screening care among women who reported healthcare mistreatment. The structure of relations among cultural beliefs about healthcare professionals, perceptions of mistreatment, mistreatment-related emotions, and continuity of screening was investigated. Participants included 313 Anglo and Latino American women of varying demographic characteristics from southern California who were recruited using multi-stage stratified sampling. Structural equation modeling confirmed the relation of perceptions of mistreatment to continuity of care for both Anglo and Latino American women, with ethnicity moderating this association. For Anglo Americans, greater perceptions of mistreatment were negatively related to continuity of screening. However, for Latinas the relation was indirect, through mistreatment-related anger. While greater perceptions of mistreatment were associated with higher levels of anger for both ethnic groups, anger was negatively related to continuity of care for Latino but not for Anglo women. Furthermore, cultural beliefs about professionals were indirectly related to continuity of screening through perceptions of mistreatment and/or mistreatment-related anger. These findings highlight the importance of the role of cultural and psychological factors in research and interventions aimed at improving patient-professional relations with culturally diverse women.


Available from: Hector Betancourt, Jan 24, 2014
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: eHealth is characterized by technology-enabled pro-cesses, systems, and applica-tions that expedite accurate, real-time health information, feedback, and skill develop-ment to advance patient-centered care. When designed and applied in a culturally competent manner, eHealth tools can be particularly beneficial for traditionally marginalized ethnic minor-ity groups, such as Latinos, a group that has been iden-tified as being at the fore-front of emerging technol-ogy use in the United States. In this analytic overview, we describe current eHealth research that has been con-ducted with Latino patient populations. In addition, we highlight cultural and lin-guistic factors that should be considered during the de-sign and implementation of eHealth interventions with this population. With increasing disparities in preventive care informa-tion, behaviors, and services, as well as health care access in general, culturally com-petent eHealth tools hold great promise to help nar-row this gap and empower communities. (Am J Public Health. eHEALTH IS DEFINED BY THE application of electronic processes, systems, and technologies to de-liver health information and re-sources to patients, caregivers, and health care providers. 1 This can include information delivered through the Internet (or private intranet servers) on desktop com-puters, mobile and tablet devices, 2 and stand-alone kiosks. 3,4 Spe-cific examples may include online health forums, 5 short message service texts with medication adherence prompts or health ap-pointment reminders, 6 smart-phone apps to monitor one's heart rate 7 or daily activities, 8 or nutri-tion education kiosks for promot-ing healthy eating habits. 9 A pri-mary goal of eHealth applications is to facilitate rapid, accurate, real-time health information, feedback, and skills training to improve pa-tient care and allocate health care resources to patients in a more efficient, accessible, and cost-effective manner. eHealth can be viewed as a modern update of tailored health communication
    American Journal of Public Health 01/2014; DOI:10.2105/AJPH.2014.302187 · 4.23 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Although health disparity research has investigated social structural, cultural, or psychological factors, the interrelations among these factors deserve greater attention. This study aims to examine cancer screening emotions and their relations to screening fatalism as determinants of breast cancer screening among women from diverse socioeconomic and ethnic backgrounds. An integrative conceptual framework was used to test the multivariate relations among socioeconomic status, age, screening fatalism, screening emotions, and clinical breast exam compliance among 281 Latino and Anglo women, using multi-group structural equation causal modeling. Screening emotions and screening fatalism had a negative, direct influence on clinical breast exam compliance for both ethnic groups. Still, ethnicity moderated the indirect effect of screening fatalism on clinical breast exam compliance through screening emotions. Integrative conceptual frameworks and multivariate methods may shed light on the complex relations among factors influencing health behaviors relevant to disparities. Future research and intervention must recognize this complexity when working with diverse populations.
    Annals of Behavioral Medicine 04/2011; 42(1):79-90. DOI:10.1007/s12160-011-9267-z · 4.20 Impact Factor